assesmen Nursing Goal and Objectives Nursing Intervention Rationale Evaluation

t Diagnosis

Pain Pain related to After 30 min of Independent: After 30 min of nursing

collection of nursing intervention 1. Promote perineal -decrease discomfort intervention the patient
the patient will exercise and
S: blood under the was able to experience
experience lesser comfortable sitting
“Sobrang placenta pain and above a position such as: lesser pain and above a
sakit kasi tolerable level as - Kegel’s exercise - three or four times a day tolerable level as
nung sa manifested by: with five times succession manifested by:
tiyan” as - Pain scale of reduces discomforts and - Pain scale of 4/10
verbalized at least 5/10 improves circulation in the - RR of 18bpm
by the - Stable RR or area and decrease edema - No facial grimace
at least below
patient - before sitting squeeze noted
20bpm - Sitting position
- No facial buttocks together and sit - Calm and
O: grimace with that position reduces cooperative
• Pain - Show comfort physical discomfort Therefore the goal was
scale of 2. Tell patient that the - so that the patient may fix met.
7/10 pain and discomforts her mind frame about the
• PR: 88 usually last more pain, this in return will
than 3 days
• T: lessen the perception of
37.5○C pain and her anxiety
• RR: 23 3. Instruct patient to - facilitates relaxation
• Facial do breathing
grimace exercises
• Irritable
•guardun -to relieve the pain
Dependent:
g 1. Administer
behavior analgesic as ordered
by physician